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1003960329
RICHARD EUGENE DUNNAM
TUPELO, MS
NPI
1003960329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Mr. RICHARD EUGENE DUNNAM NCAC II, CADC
920 BOONE ST
TUPELO, MS 38804-5908
Phone number: 662-844-3531
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Mailing Address
Mr. RICHARD EUGENE DUNNAM NCAC II, CADC
PO BOX 251
TUPELO, MS 38802-0251
Phone number: 662-869-1670
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